Provider Demographics
NPI:1881341667
Name:SPECTRUM PSYCHOLOGICAL ASSESSMENT SERVICES OF COLORADO, PLLC
Entity type:Organization
Organization Name:SPECTRUM PSYCHOLOGICAL ASSESSMENT SERVICES OF COLORADO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:719-232-7770
Mailing Address - Street 1:6547 N ACADEMY BLVD STE 1222
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-8342
Mailing Address - Country:US
Mailing Address - Phone:719-677-0060
Mailing Address - Fax:
Practice Address - Street 1:6055 LEHMAN DR STE 103
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5486
Practice Address - Country:US
Practice Address - Phone:719-677-0600
Practice Address - Fax:719-677-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty